Organization
TRAVIS SHAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS SHAW M.D. (PRESIDENT)
(804) 775-4559
Entity
Organization
Contact information
Practice address
8730 STONY POINT PKWY, SUITE 120, RICHMOND, VA 23235-1970
(804) 775-4559
(804) 212-2476
Mailing address
8730 STONY POINT PKWY, SUITE 120, RICHMOND, VA 23235-1970
(804) 775-4559
(804) 212-2476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101245920
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629279047
NPI TYPE 1
VA
Enumeration date
02/13/2015
Last updated
02/16/2015
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